Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

SAINT ANTHONY HOSPITAL

Chicago, IL · CCN 140095 · Rates published

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You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $12,880 across 13 payers · range $4,324-$12,880

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/7851/510217097_saint-anthony-hospital_standardcharges.csv · observed 2026-04-28

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

16,566 distinct procedures filed
20 distinct payers
866,480 rate rows
2026-04-28 last MRF observed
Data quality

506,786 of 866,480 rate rows are consumer-grade (58.5%)

359,694 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 358,416
per-diem day rate — not a per-procedure price 756
percent-of-charges filed in the dollar field — excluded from medians 382
exceeds 10× this hospital's gross charge — excluded from medians 104
placeholder amount (≤ $0.02) — excluded from medians 32
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7851/510217097_saint-anthony-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/saintanthonyhospital/7851
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint 64f568f7750b4c2c… · 185,421,291 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,691,450.00 $3,691,450.00 $3,691,450.00 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 7 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,321,376.38 $3,321,376.38 $3,321,376.38 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,245,381.39 $3,245,381.39 $3,245,381.39 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 7 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,938,320.00 $2,938,320.00 $2,938,320.00 nat. median
$2,997,086
1.0× median
C9309
HCPCS 		Inj Onase Abepar-brve Treat 7 $2,664,228.59 $2,664,228.59 $2,664,228.59 nat. median
$2,664,229
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,587,087.26 $2,587,087.26 $2,587,087.26 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $770,620.00 $770,620.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $614,180.81 $614,180.81 $614,180.81 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $588,494.81 $588,494.81 $588,494.81 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,260.84 $562,260.84 $562,260.84 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $559,781.08 $559,781.08 $559,781.08 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $531,849.12 $531,849.12 $531,849.12 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,290.60 $489,290.60 $489,290.60 nat. median
$577,541
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $280,688.20 $402,334.15 $376,188.24 nat. median
$370,165
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $278,250.00 $278,250.00 $278,250.00 nat. median
$302,242
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 7 $262,233.77 $262,233.77 $262,233.77 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $182,155.35 $261,098.68 $246,629.68 nat. median
$261,939
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $202,713.58 $202,713.58 $202,713.58 nat. median
$209,736
1.0× median
5834
APR_DRG 		Neonate With Ecmo 5 $196,371.93 $196,371.93 $196,371.93 nat. median
$311,018
0.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $138,778.25 $198,922.61 $189,594.13 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 13 $137,963.80 $197,755.19 $188,523.22 nat. median
$199,832
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $161,078.24 $161,078.24 $161,078.24 nat. median
$254,667
0.6× median
5833
APR_DRG 		Neonate With Ecmo 5 $155,530.31 $155,530.31 $155,530.31 nat. median
$250,089
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $154,009.92 $154,009.92 $154,009.92 nat. median
$209,486
0.7× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $148,624.17 $148,624.17 $148,624.17 nat. median
$243,231
0.6× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 13 $90,034.10 $129,053.49 $125,501.57 nat. median
$132,706
0.9× median
J3404
HCPCS 		Inj Zopapogene Per Ther Dose 7 $121,900.00 $121,900.00 $121,900.00 nat. median
$121,900
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $117,987.43 $117,987.43 $117,987.43 nat. median
$127,938
0.9× median
7
MS_DRG 		Lung Transplant 13 $84,176.30 $120,657.01 $117,799.30 nat. median
$122,690
1.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $116,916.56 $116,916.56 $116,916.56 nat. median
$160,171
0.7× median
5832
APR_DRG 		Neonate With Ecmo 5 $114,688.69 $114,688.69 $114,688.69 nat. median
$169,230
0.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $110,901.76 $110,901.76 $110,901.76 nat. median
$111,503
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $78,116.35 $111,970.77 $109,831.20 nat. median
$114,305
1.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $108,608.35 $108,608.35 $108,608.35 nat. median
$165,646
0.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $105,053.67 $105,053.67 $105,053.67 nat. median
$156,285
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $73,656.70 $105,578.38 $103,967.30 nat. median
$108,240
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $73,572.20 $105,457.26 $103,856.19 nat. median
$96,134
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $103,772.73 $103,772.73 $103,772.73 nat. median
$180,995
0.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $101,613.68 $101,613.68 $101,613.68 nat. median
$147,847
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $101,446.67 $101,446.67 $101,446.67 nat. median
$168,361
0.6× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $101,316.28 $101,316.28 $101,316.28 nat. median
$119,243
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $71,637.80 $102,684.52 $101,312.70 nat. median
$96,835
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $100,799.56 $100,799.56 $100,799.56 nat. median
$168,174
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $70,681.65 $101,313.99 $100,055.47 nat. median
$100,978
1.0× median
5831
APR_DRG 		Neonate With Ecmo 5 $99,111.76 $99,111.76 $99,111.76 nat. median
$154,685
0.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $97,435.63 $97,435.63 $97,435.63 nat. median
$175,480
0.6× median

Other procedures at this hospital

Browse this hospital's 16,566 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 16 7 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-04-28
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 16 7 — — $3,691,450.00 $3,691,450.00 $3,691,450.00 2026-04-28
J3389 HCPCS Topi Adm Prad Zami Per Treat 16 7 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-04-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 16 7 — — $3,321,376.38 $3,321,376.38 $3,321,376.38 2026-04-28
J3394 HCPCS Inj, Lovotibeglogene Autotem 16 7 — — $3,245,381.39 $3,245,381.39 $3,245,381.39 2026-04-28
J3387 HCPCS Inj Elivaldogene Autotemecel 16 7 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-04-28
J3393 HCPCS Inj, Betibeglogene Autotemce 16 7 — — $2,938,320.00 $2,938,320.00 $2,938,320.00 2026-04-28
C9309 HCPCS Inj Onase Abepar-brve Treat 16 7 — — $2,664,228.59 $2,664,228.59 $2,664,228.59 2026-04-28
J3399 HCPCS Inj Onase Abepar-xioi Treat 16 7 — — $2,587,087.26 $2,587,087.26 $2,587,087.26 2026-04-28
J3392 HCPCS Inj, Exagamglogene Autotem 16 7 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-04-28
Q2057 HCPCS Afamitresgene Autoleucel 14 7 — — $770,620.00 $770,620.00 $770,620.00 2026-04-28
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 7 — — $614,180.81 $614,180.81 $614,180.81 2026-04-28
Q2056 HCPCS Ciltacabtagene Car-pos T 14 7 — — $588,494.81 $588,494.81 $588,494.81 2026-04-28
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 7 — — $562,260.84 $562,260.84 $562,260.84 2026-04-28
Q2055 HCPCS Idecabtagene Vicleucel Car 14 7 — — $559,781.08 $559,781.08 $559,781.08 2026-04-28
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 7 — — $531,849.12 $531,849.12 $531,849.12 2026-04-28
Q2053 HCPCS Brexucabtagene Car Pos T 14 7 — — $489,290.60 $489,290.60 $489,290.60 2026-04-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 13 — — $280,688.20 $402,334.15 $376,188.24 2026-04-28
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 14 7 — — $278,250.00 $278,250.00 $278,250.00 2026-04-28
J3403 HCPCS Revakinagene, Per Implant 16 7 — — $262,233.77 $262,233.77 $262,233.77 2026-04-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 13 — — $182,155.35 $261,098.68 $246,629.68 2026-04-28
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 16 7 — — $202,713.58 $202,713.58 $202,713.58 2026-04-28
5834 APR_DRG Neonate With Ecmo 10 5 — — $196,371.93 $196,371.93 $196,371.93 2026-04-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 30 13 — — $138,778.25 $198,922.61 $189,594.13 2026-04-28
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 30 13 — — $137,963.80 $197,755.19 $188,523.22 2026-04-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $161,078.24 $161,078.24 $161,078.24 2026-04-28
5833 APR_DRG Neonate With Ecmo 10 5 — — $155,530.31 $155,530.31 $155,530.31 2026-04-28
1614 APR_DRG Implantable Heart Assist Systems 10 5 — — $154,009.92 $154,009.92 $154,009.92 2026-04-28
24 APR_DRG Heart And/or Lung Transplant 10 5 — — $148,624.17 $148,624.17 $148,624.17 2026-04-28
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 30 13 — — $90,034.10 $129,053.49 $125,501.57 2026-04-28
J3404 HCPCS Inj Zopapogene Per Ther Dose 16 7 — — $121,900.00 $121,900.00 $121,900.00 2026-04-28
1613 APR_DRG Implantable Heart Assist Systems 10 5 — — $117,987.43 $117,987.43 $117,987.43 2026-04-28
7 MS_DRG Lung Transplant 30 13 — — $84,176.30 $120,657.01 $117,799.30 2026-04-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 5 — — $116,916.56 $116,916.56 $116,916.56 2026-04-28
5832 APR_DRG Neonate With Ecmo 10 5 — — $114,688.69 $114,688.69 $114,688.69 2026-04-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 14 7 — — $110,901.76 $110,901.76 $110,901.76 2026-04-28
14 MS_DRG Allogeneic Bone Marrow Transplant 30 13 — — $78,116.35 $111,970.77 $109,831.20 2026-04-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 5 — — $108,608.35 $108,608.35 $108,608.35 2026-04-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $105,053.67 $105,053.67 $105,053.67 2026-04-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 13 — — $73,656.70 $105,578.38 $103,967.30 2026-04-28
209 MS_DRG Complex Aortic Arch Procedures 30 13 — — $73,572.20 $105,457.26 $103,856.19 2026-04-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $103,772.73 $103,772.73 $103,772.73 2026-04-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $101,613.68 $101,613.68 $101,613.68 2026-04-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $101,446.67 $101,446.67 $101,446.67 2026-04-28
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 5 — — $101,316.28 $101,316.28 $101,316.28 2026-04-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 13 — — $71,637.80 $102,684.52 $101,312.70 2026-04-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $100,799.56 $100,799.56 $100,799.56 2026-04-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 13 — — $70,681.65 $101,313.99 $100,055.47 2026-04-28
5831 APR_DRG Neonate With Ecmo 10 5 — — $99,111.76 $99,111.76 $99,111.76 2026-04-28
74 APR_DRG Allogeneic Bone Marrow Transplant 10 5 — — $97,435.63 $97,435.63 $97,435.63 2026-04-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $96,772.02 $96,772.02 $96,772.02 2026-04-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $96,510.44 $96,510.44 $96,510.44 2026-04-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 13 — — $67,018.25 $96,062.93 $95,238.57 2026-04-28
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 14 7 — — $95,081.03 $95,081.03 $95,081.03 2026-04-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 5 — — $95,009.77 $95,009.77 $95,009.77 2026-04-28
1612 APR_DRG Implantable Heart Assist Systems 10 5 — — $94,733.70 $94,733.70 $94,733.70 2026-04-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 5 — — $94,486.20 $94,486.20 $94,486.20 2026-04-28
215 MS_DRG Other Heart Assist System Implant 30 13 — — $64,720.50 $92,769.37 $92,217.31 2026-04-28
23 APR_DRG Heart And/or Lung Transplant 10 5 — — $91,907.02 $91,907.02 $91,907.02 2026-04-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 13 — — $63,588.20 $91,146.35 $90,728.48 2026-04-28
1611 APR_DRG Implantable Heart Assist Systems 10 5 — — $89,996.67 $89,996.67 $89,996.67 2026-04-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 5 — — $84,445.53 $84,445.53 $84,445.53 2026-04-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 13 — — $58,562.40 $84,120.17 $84,120.17 2026-04-28
64 APR_DRG Pancreas Transplant 10 5 — — $83,904.66 $83,904.66 $83,904.66 2026-04-28
850 MS_DRG Acute Leukemia With Other Procedures 30 13 — — $56,286.75 $81,127.96 $81,127.96 2026-04-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 13 — — $54,794.35 $79,165.65 $79,165.65 2026-04-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 13 — — $54,622.10 $78,939.15 $78,939.15 2026-04-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $75,302.67 $75,302.67 $75,302.67 2026-04-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 13 — — $51,147.20 $74,370.07 $74,370.07 2026-04-28
J9183 HCPCS Gemcitabine Intravesical Sys 16 7 — — $73,088.26 $73,088.26 $73,088.26 2026-04-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 13 — — $49,908.95 $72,741.94 $72,741.94 2026-04-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 13 — — $49,693.80 $72,459.03 $72,459.03 2026-04-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 13 — — $49,529.35 $72,242.80 $72,242.80 2026-04-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 13 — — $46,920.90 $68,813.02 $68,813.02 2026-04-28
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 14 7 — — $68,801.71 $68,801.71 $68,801.71 2026-04-28
10 MS_DRG Pancreas Transplant 30 13 — — $46,642.05 $68,446.37 $68,446.37 2026-04-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 30 13 — — $46,622.55 $68,420.72 $68,420.72 2026-04-28
22 APR_DRG Heart And/or Lung Transplant 10 5 — — $68,204.98 $68,204.98 $68,204.98 2026-04-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 13 — — $46,374.90 $68,095.11 $68,095.11 2026-04-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 13 — — $46,347.60 $68,059.21 $68,059.21 2026-04-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $67,556.26 $67,556.26 $67,556.26 2026-04-28
38240 CPT Transplt Allo Hct/donor 18 7 — — $4,437.00 $67,406.01 $67,406.01 2026-04-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $66,885.81 $66,885.81 $66,885.81 2026-04-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 30 13 — — $44,926.70 $66,190.88 $66,190.88 2026-04-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $66,044.73 $66,044.73 $66,044.73 2026-04-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 13 — — $44,706.35 $65,901.18 $65,901.18 2026-04-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $65,168.23 $65,168.23 $65,168.23 2026-04-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 13 — — $43,752.15 $64,646.49 $64,646.49 2026-04-28
J9029 HCPCS Instill Adstiladrin, Tx Dose 16 7 — — $64,282.30 $64,282.30 $64,282.30 2026-04-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 13 — — $43,462.25 $64,265.32 $64,265.32 2026-04-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 13 — — $43,430.40 $64,223.46 $64,223.46 2026-04-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $63,602.37 $63,602.37 $63,602.37 2026-04-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 13 — — $42,739.45 $63,314.92 $63,314.92 2026-04-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 13 — — $42,739.45 $63,314.92 $63,314.92 2026-04-28
63685 CPT Ins/repl Spine N Generator 98 20 $100,053.00 $30,015.90 70% off $1,437.00 $80,042.40 $63,183.47 2026-04-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 13 — — $42,584.10 $63,110.68 $63,110.68 2026-04-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 30 13 — — $41,825.55 $62,113.26 $62,113.26 2026-04-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $61,419.98 $61,419.98 $61,419.98 2026-04-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 13 — — $39,834.60 $59,495.41 $59,495.41 2026-04-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 30 13 — — $39,788.45 $59,434.74 $59,434.74 2026-04-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $59,432.37 $59,432.37 $59,432.37 2026-04-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $59,378.04 $59,378.04 $59,378.04 2026-04-28
63 APR_DRG Pancreas Transplant 10 5 — — $58,997.34 $58,997.34 $58,997.34 2026-04-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 13 — — $39,406.90 $58,933.04 $58,933.04 2026-04-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $58,719.26 $58,719.26 $58,719.26 2026-04-28
21 APR_DRG Heart And/or Lung Transplant 10 5 — — $58,469.75 $58,469.75 $58,469.75 2026-04-28
28 MS_DRG Spinal Procedures With Mcc 30 13 — — $39,053.95 $58,468.95 $58,468.95 2026-04-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 13 — — $39,042.90 $58,454.40 $58,454.40 2026-04-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 13 — — $38,760.15 $58,082.63 $58,082.63 2026-04-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 13 — — $38,632.75 $57,915.10 $57,915.10 2026-04-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $57,839.14 $57,839.14 $57,839.14 2026-04-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 13 — — $38,543.05 $57,797.16 $57,797.16 2026-04-28
73 APR_DRG Allogeneic Bone Marrow Transplant 10 5 — — $57,421.41 $57,421.41 $57,421.41 2026-04-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 13 — — $38,145.90 $57,274.98 $57,274.98 2026-04-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 30 13 — — $38,121.20 $57,242.50 $57,242.50 2026-04-28
A9543 HCPCS Y90 Ibritumomab, Rx 14 7 — — $56,824.55 $56,824.55 $56,824.55 2026-04-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 5 — — $56,491.39 $56,491.39 $56,491.39 2026-04-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 13 — — $37,486.15 $56,407.48 $56,407.48 2026-04-28
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 7 — — $56,269.19 $56,269.19 $56,269.19 2026-04-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 13 — — $37,246.95 $56,092.96 $56,092.96 2026-04-28
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 30 13 — — $37,094.85 $55,892.98 $55,892.98 2026-04-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 13 — — $37,046.75 $55,829.72 $55,829.72 2026-04-28
4404 APR_DRG Kidney Transplant 10 5 — — $55,822.95 $55,822.95 $55,822.95 2026-04-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 13 — — $36,543.00 $55,167.36 $55,167.36 2026-04-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 30 13 — — $36,429.90 $55,018.64 $55,018.64 2026-04-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 10 5 — — $54,927.94 $54,927.94 $54,927.94 2026-04-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 5 — — $54,887.70 $54,887.70 $54,887.70 2026-04-28
0120 EAPG Car T-cell Immunotherapy 16 6 — — $54,704.52 $60,174.97 $54,704.52 2026-04-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 13 — — $36,180.30 $54,690.46 $54,690.46 2026-04-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 30 13 — — $35,899.50 $54,321.22 $54,321.22 2026-04-28
834 MS_DRG Acute Leukemia With Mcc 30 13 — — $35,684.35 $54,038.34 $54,038.34 2026-04-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 30 13 — — $35,558.25 $53,872.52 $53,872.52 2026-04-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 13 — — $35,507.55 $53,805.89 $53,805.89 2026-04-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 30 13 — — $35,451.65 $53,732.37 $53,732.37 2026-04-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 13 — — $35,309.95 $53,546.05 $53,546.05 2026-04-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $53,544.78 $53,544.78 $53,544.78 2026-04-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 13 — — $34,663.20 $52,695.66 $52,695.66 2026-04-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 30 13 — — $34,642.40 $52,668.30 $52,668.30 2026-04-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 13 — — $34,409.70 $52,362.34 $52,362.34 2026-04-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 5 — — $52,264.65 $52,264.65 $52,264.65 2026-04-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 13 — — $34,295.95 $52,212.76 $52,212.76 2026-04-28
1784 APR_DRG External Heart Assist Systems 10 5 — — $51,915.74 $51,915.74 $51,915.74 2026-04-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 13 — — $33,835.10 $51,606.79 $51,606.79 2026-04-28
653 MS_DRG Major Bladder Procedures With Mcc 30 13 — — $33,776.60 $51,529.88 $51,529.88 2026-04-28
62 APR_DRG Pancreas Transplant 10 5 — — $51,215.51 $51,215.51 $51,215.51 2026-04-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $50,218.68 $50,218.68 $50,218.68 2026-04-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 13 — — $32,761.30 $50,194.89 $50,194.89 2026-04-28
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 5 — — $49,870.58 $49,870.58 $49,870.58 2026-04-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 30 13 — — $32,418.10 $49,743.61 $49,743.61 2026-04-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 13 — — $32,158.10 $49,401.75 $49,401.75 2026-04-28
L7181 HCPCS Electronic Elbo Simultaneous 14 7 — — $49,338.18 $49,338.18 $49,338.18 2026-04-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 13 — — $32,100.90 $49,326.53 $49,326.53 2026-04-28
84 APR_DRG Autologous Bone Marrow Transplant 10 5 — — $49,288.66 $49,288.66 $49,288.66 2026-04-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 13 — — $31,991.05 $49,182.11 $49,182.11 2026-04-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 13 — — $31,857.80 $49,006.89 $49,006.89 2026-04-28
471 MS_DRG Cervical Spinal Fusion With Mcc 30 13 — — $31,386.55 $48,387.27 $48,387.27 2026-04-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 13 — — $31,227.95 $48,178.70 $48,178.70 2026-04-28
L7180 HCPCS Electronic Elbow Sequential 14 7 — — $47,919.99 $47,919.99 $47,919.99 2026-04-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 30 13 — — $30,945.20 $47,806.94 $47,806.94 2026-04-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $47,794.84 $47,794.84 $47,794.84 2026-04-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 13 — — $30,559.10 $47,299.27 $47,299.27 2026-04-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 13 — — $30,496.70 $47,217.21 $47,217.21 2026-04-28
33276 CPT Insj Phrnc Nrv Stim Sys 20 8 — — $4,313.00 $47,201.02 $47,201.02 2026-04-28
64654 CPT 1st Opn Implt Bat Modulj Sys 14 7 — — $47,201.02 $47,201.02 $47,201.02 2026-04-28
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 20 8 — — $4,313.00 $47,201.02 $47,201.02 2026-04-28
64568 CPT Inc For Vagus N Elect Impl 20 8 — — $2,425.00 $47,201.02 $47,201.02 2026-04-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 13 — — $30,405.70 $47,097.56 $47,097.56 2026-04-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 5 — — $47,012.51 $47,012.51 $47,012.51 2026-04-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $46,835.84 $46,835.84 $46,835.84 2026-04-28
6 MS_DRG Liver Transplant Without Mcc 30 13 — — $30,140.50 $46,748.86 $46,748.86 2026-04-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 13 — — $30,020.25 $46,590.75 $46,590.75 2026-04-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 13 — — $29,877.25 $46,402.71 $46,402.71 2026-04-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 13 — — $29,801.20 $46,302.72 $46,302.72 2026-04-28
245 MS_DRG Aicd Generator Procedures 30 13 — — $29,655.60 $46,111.28 $46,111.28 2026-04-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 10 5 — — $46,036.21 $46,036.21 $46,036.21 2026-04-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 13 — — $29,566.55 $45,994.18 $45,994.18 2026-04-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 13 — — $29,553.55 $45,977.09 $45,977.09 2026-04-28
799 MS_DRG Splenic Procedures With Mcc 30 13 — — $29,437.85 $45,824.95 $45,824.95 2026-04-28
163 MS_DRG Major Chest Procedures With Mcc 30 13 — — $29,131.70 $45,422.41 $45,422.41 2026-04-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 13 — — $29,123.25 $45,411.30 $45,411.30 2026-04-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $45,406.00 $45,406.00 $45,406.00 2026-04-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $45,307.40 $45,307.40 $45,307.40 2026-04-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 13 — — $29,008.85 $45,260.89 $45,260.89 2026-04-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 5 — — $45,069.97 $45,069.97 $45,069.97 2026-04-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $44,995.52 $44,995.52 $44,995.52 2026-04-28
72 APR_DRG Allogeneic Bone Marrow Transplant 10 5 — — $44,915.44 $44,915.44 $44,915.44 2026-04-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 13 — — $28,553.20 $44,661.76 $44,661.76 2026-04-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $44,460.28 $44,460.28 $44,460.28 2026-04-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 5 — — $44,302.13 $44,302.13 $44,302.13 2026-04-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 13 — — $28,128.10 $44,102.79 $44,102.79 2026-04-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 5 — — $43,953.22 $43,953.22 $43,953.22 2026-04-28
0246 EAPG Class IV Therapeutic Radiopharmaceuticals 16 6 — — $43,890.69 $48,279.76 $43,890.69 2026-04-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 13 — — $27,903.85 $43,807.94 $43,807.94 2026-04-28
140 MS_DRG Major Head And Neck Procedures With Mcc 30 13 — — $27,724.45 $43,572.05 $43,572.05 2026-04-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 5 — — $43,547.97 $43,547.97 $43,547.97 2026-04-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 13 — — $27,565.20 $43,362.64 $43,362.64 2026-04-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 13 — — $27,450.80 $43,212.23 $43,212.23 2026-04-28
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 30 13 — — $27,404.00 $43,150.70 $43,150.70 2026-04-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 30 13 — — $27,390.35 $43,132.75 $43,132.75 2026-04-28
8634 APR_DRG Neonatal Aftercare 10 5 — — $43,090.00 $43,090.00 $43,090.00 2026-04-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 5 — — $43,082.76 $43,082.76 $43,082.76 2026-04-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 13 — — $27,310.40 $43,027.62 $43,027.62 2026-04-28
901 MS_DRG Wound Debridements For Injuries With Mcc 30 13 — — $27,277.90 $42,984.90 $42,984.90 2026-04-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 13 — — $27,227.20 $42,918.21 $42,918.21 2026-04-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 13 — — $27,121.90 $42,779.76 $42,779.76 2026-04-28
793 MS_DRG Full Term Neonate With Major Problems 28 13 — — $27,102.40 $42,754.13 $42,754.13 2026-04-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 13 — — $26,994.50 $42,612.25 $42,612.25 2026-04-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 5 — — $42,561.21 $42,561.21 $42,561.21 2026-04-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 13 — — $26,815.75 $42,377.23 $42,377.23 2026-04-28
1794 APR_DRG Defibrillator Implants 10 5 — — $42,297.21 $42,297.21 $42,297.21 2026-04-28
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 5 — — $42,121.75 $42,121.75 $42,121.75 2026-04-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $42,067.42 $42,067.42 $42,067.42 2026-04-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $42,030.40 $42,030.40 $42,030.40 2026-04-28
791 MS_DRG Prematurity With Major Problems 28 13 — — $26,383.50 $41,808.85 $41,808.85 2026-04-28
54410 CPT Remove/replace Penis Prosth 98 20 $66,087.00 $19,826.10 70% off $1,726.00 $52,869.60 $41,733.94 2026-04-28
54405 CPT Insert Multi-comp Penis Pros 98 20 $66,087.00 $19,826.10 70% off $1,726.00 $52,869.60 $41,733.94 2026-04-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 13 — — $26,133.25 $41,479.83 $41,479.83 2026-04-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 5 — — $41,236.80 $41,236.80 $41,236.80 2026-04-28
J9226 HCPCS Supprelin La Implant 16 7 — — $41,173.43 $41,173.43 $41,173.43 2026-04-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 13 — — $25,896.65 $41,168.73 $41,168.73 2026-04-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 5 — — $41,093.94 $41,093.94 $41,093.94 2026-04-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 10 5 — — $40,874.21 $40,874.21 $40,874.21 2026-04-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 13 — — $25,427.35 $40,551.64 $40,551.64 2026-04-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 30 13 — — $25,312.30 $40,400.38 $40,400.38 2026-04-28
1694 APR_DRG Major Abdominal Vascular Procedures 10 5 — — $40,324.09 $40,324.09 $40,324.09 2026-04-28
61 APR_DRG Pancreas Transplant 10 5 — — $40,257.69 $40,257.69 $40,257.69 2026-04-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 10 5 — — $40,209.40 $40,209.40 $40,209.40 2026-04-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 30 13 — — $25,159.55 $40,199.51 $40,199.51 2026-04-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 12 — — $25,121.85 $40,149.95 $40,149.95 2026-04-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 30 13 — — $25,097.80 $40,118.32 $40,118.32 2026-04-28
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 10 5 — — $40,033.94 $40,033.94 $40,033.94 2026-04-28
71 APR_DRG Allogeneic Bone Marrow Transplant 10 5 — — $39,993.69 $39,993.69 $39,993.69 2026-04-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 13 — — $24,955.45 $39,931.16 $39,931.16 2026-04-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 5 — — $39,858.07 $39,858.07 $39,858.07 2026-04-28
914 APR_DRG Other Major Head And Neck Procedures 10 5 — — $39,824.27 $39,824.27 $39,824.27 2026-04-28
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 14 7 — — $39,537.89 $39,537.89 $39,537.89 2026-04-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 30 13 — — $24,459.50 $39,279.04 $39,279.04 2026-04-28
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 13 — — $24,352.90 $39,138.88 $39,138.88 2026-04-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 5 — — $39,066.89 $39,066.89 $39,066.89 2026-04-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 30 13 — — $24,295.05 $39,062.82 $39,062.82 2026-04-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 13 — — $24,292.45 $39,059.39 $39,059.39 2026-04-28
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 30 13 — — $24,224.20 $38,969.65 $38,969.65 2026-04-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 13 — — $24,087.70 $38,790.17 $38,790.17 2026-04-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 30 13 — — $23,875.15 $38,510.69 $38,510.69 2026-04-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 30 13 — — $23,865.40 $38,497.87 $38,497.87 2026-04-28
1783 APR_DRG External Heart Assist Systems 10 5 — — $38,407.31 $38,407.31 $38,407.31 2026-04-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 10 5 — — $38,251.16 $38,251.16 $38,251.16 2026-04-28
234 APR_DRG Spinal Procedures 10 5 — — $38,152.97 $38,152.97 $38,152.97 2026-04-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 30 13 — — $23,585.25 $38,129.52 $38,129.52 2026-04-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 13 — — $23,567.05 $38,105.58 $38,105.58 2026-04-28
332 MS_DRG Rectal Resection With Mcc 30 13 — — $23,534.55 $38,062.86 $38,062.86 2026-04-28
265 MS_DRG Aicd Lead Procedures 30 13 — — $23,518.30 $38,041.49 $38,041.49 2026-04-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 30 13 — — $23,476.70 $37,986.76 $37,986.76 2026-04-28
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 13 — — $23,441.60 $37,940.63 $37,940.63 2026-04-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 30 13 — — $23,288.20 $37,738.94 $37,738.94 2026-04-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 30 13 — — $23,234.25 $37,667.99 $37,667.99 2026-04-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 13 — — $23,210.85 $37,637.23 $37,637.23 2026-04-28
214 APR_DRG Open Craniotomy Except Trauma 10 5 — — $37,630.21 $37,630.21 $37,630.21 2026-04-28
4414 APR_DRG Major Bladder Procedures 10 5 — — $37,623.37 $37,623.37 $37,623.37 2026-04-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 13 — — $23,176.40 $37,591.92 $37,591.92 2026-04-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 13 — — $23,156.90 $37,566.29 $37,566.29 2026-04-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 30 13 — — $23,134.80 $37,537.22 $37,537.22 2026-04-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 13 — — $23,115.95 $37,512.44 $37,512.44 2026-04-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 13 — — $22,922.90 $37,258.61 $37,258.61 2026-04-28
0238T CPT Ir Athrc Perip Iliac Each Ves 98 20 $58,957.00 $17,687.10 70% off $2,742.00 $47,165.60 $37,231.35 2026-04-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 13 — — $22,876.10 $37,197.05 $37,197.05 2026-04-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $37,162.99 $37,162.99 $37,162.99 2026-04-28
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 10 5 — — $37,151.72 $37,151.72 $37,151.72 2026-04-28
252 MS_DRG Other Vascular Procedures With Mcc 30 13 — — $22,673.95 $36,931.26 $36,931.26 2026-04-28
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 30 13 — — $22,668.10 $36,923.57 $36,923.57 2026-04-28
4403 APR_DRG Kidney Transplant 10 5 — — $36,795.97 $36,795.97 $36,795.97 2026-04-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 30 13 — — $22,564.10 $36,786.82 $36,786.82 2026-04-28
0870T CPT Imp Subq Prtl Ascts Pmp Sys 14 7 — — $36,712.02 $36,712.02 $36,712.02 2026-04-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 10 5 — — $36,675.64 $36,675.64 $36,675.64 2026-04-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 30 13 — — $22,454.90 $36,643.25 $36,643.25 2026-04-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 5 — — $36,621.31 $36,621.31 $36,621.31 2026-04-28
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 30 13 — — $22,350.90 $36,506.50 $36,506.50 2026-04-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 13 — — $22,284.60 $36,419.32 $36,419.32 2026-04-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 13 — — $22,175.40 $36,275.73 $36,275.73 2026-04-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 30 13 — — $22,146.15 $36,237.26 $36,237.26 2026-04-28
3060 EAPG Ventricular Assist Device Procedures 16 6 — — $35,993.98 $39,593.38 $35,993.98 2026-04-28
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 5 — — $35,917.86 $35,917.86 $35,917.86 2026-04-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 5 — — $35,841.80 $35,841.80 $35,841.80 2026-04-28
1782 APR_DRG External Heart Assist Systems 10 5 — — $35,783.45 $35,783.45 $35,783.45 2026-04-28
264 MS_DRG Other Circulatory System O.r. Procedures 30 13 — — $21,713.90 $35,668.91 $35,668.91 2026-04-28
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 10 5 — — $35,643.00 $35,643.00 $35,643.00 2026-04-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 10 5 — — $35,402.35 $35,402.35 $35,402.35 2026-04-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 30 13 — — $21,471.45 $35,350.12 $35,350.12 2026-04-28
69930 CPT Implant Cochlear Device 22 9 — — $3,120.00 $35,333.54 $35,333.54 2026-04-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $35,299.73 $35,299.73 $35,299.73 2026-04-28
37 MS_DRG Extracranial Procedures With Mcc 30 13 — — $21,398.65 $35,254.40 $35,254.40 2026-04-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 30 13 — — $21,396.05 $35,251.00 $35,251.00 2026-04-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 5 — — $35,053.44 $35,053.44 $35,053.44 2026-04-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $34,982.61 $34,982.61 $34,982.61 2026-04-28
L8701 HCPCS Ewh S/d Uprt Micro Sensor 14 7 — — $34,970.13 $34,970.13 $34,970.13 2026-04-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 13 — — $21,143.20 $34,918.51 $34,918.51 2026-04-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 5 — — $34,877.17 $34,877.17 $34,877.17 2026-04-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $34,841.36 $34,841.36 $34,841.36 2026-04-28
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 13 — — $21,050.25 $34,796.29 $34,796.29 2026-04-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 5 — — $34,793.87 $34,793.87 $34,793.87 2026-04-28
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